33D2243384 CLIA NUMBER - WALGREENS NO 12760

Laboratory Demographics

  • CLIA Code: 33D2243384
  • Facility Name: WALGREENS NO 12760
  • Facility Address: 1201 MAIN ST
    PEEKSKILL, NY
    ZIP 10566
  • Facility Phone: 914 930-3100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1194026336
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243384
LAB Type Pharmacy
Facility Name WALGREENS NO 12760
Street 1201 MAIN ST
City PEEKSKILL
State NY
ZIP 10566
Phone 914 930-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD A. FAKHOURI

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This page was last updated on: 9/29/2025